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General NPI Number Information
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NPI Number | 1295383420
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Entity Type | Organization
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Legal Business Name | ATLANTIC PEDIATRIC PARTNERS LLC
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 5901 SW 74TH ST STE 308
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5163
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Country | US
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Telephone | 305-665-5808
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Fax | 305-665-6761
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Provider Business Mailing Address
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Address Line | 7800 SW 87TH AVE STE C350
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City | MIAMI
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State | FL
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Zip | 33173-3570
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Country | US
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Telephone | 954-731-9676
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Fax | 954-731-9747
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Authorized Official
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Title or Position | CFO
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Name | MANNY ZAMORA
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Credential |
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Telephone | 954-731-9676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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